Cathy Jean Gourley, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Boonville, IN
NPI 1194809434 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194809434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22003247A (IN)
- Practice address
- 1601 S Rockport Rd
Boonville, IN 47601-9708 - Phone
- (812) 897-8730
- Fax
- (812) 897-8730
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22003247A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22003247A | IN | Yes |
Addresses
Primary practice location
1601 S Rockport Rd
Boonville, IN 47601-9708
Mailing address
1601 S Rockport Rd
Boonville, IN 47601-9708
Phone (812) 897-8730
Other providers in Boonville, IN
- Cathy Lynne Gearhart
- James P Given
- Ashley Goelzhauser
- Shaina Marie Gogel
- Good Samaritan Hospital
- Dante J Grasso
- Amanda Grothouse
- Kaitlyn Nicole Halbig
- Cheryl L Hanou
- Charles Mitchell Hayman
All providers in Boonville, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.